Doctor insights on:
How Do You Treat Calciphylaxis

1

Calciphylaxis:
There are two components: first, your renal doctor will need to look into correctable biochemical abnormalities to see if there is something to be corrected like calcium, phosphate, and parathyroid hormone levels; second, the wounds will need careful treatment in a wound center by a physician that is willing to work with you over long term.
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Calciphylaxis is a condition in which a person (usually somebody with kidney failure) has calcium build-up in small blood vessels of the skin. Calciphylaxis causes painful skin ulcers by clogging off small vessels with calcium, leading to death of affected areas of skin, which then can become infected.
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4

Calciphylaxis:
An electrolyte disturbance noted at dialysis with peturbation in calcium and phosphate may indicate incipient problems. However, clinically, calciphylaxis is marked by irregular patches of dark purple/black eschars on the skin. These patches are tender. Additionally, the superficial veins may be dark (indicating thrombus inside the vessel).
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5

Calciphylaxis:
Calciphylaxis is a syndrome of vascular calcification, thrombosis and skin necrosis. It is seen almost exclusively in patients with stage 5 chronic kidney disease. It results in chronic non-healing wounds and is usually fatal. Calciphylaxis is a rare but serious disease. See more at: http://en.Wikipedia.Org/wiki/calciphylaxis.
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6

Calciphylaxis:
There are no lab tests that indicate calciphylaxis...It is a clinical diagnosis. Your doctor can take a small sample of the dark tissue and send it to pathologist, who can determine if there is calcium deposition in the skin and soft tissues.
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7

Calciphylaxis:
For goodness sake, you did not do anything wrong. We have no idea why some patients develop this syndrome and others not given similar parameters. Just concentrate on working with the renal physician in doing a workup to see if there are correctable chemical abnormalities; and a specialist in wound care that is familiar with calciphylaxis patients (this may require some investigation).
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